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NCCN Guidelines for Patients



Colon Cancer, Version 1.2017


Metastatic disease

Part 5 is a treatment guide for colon

cancer that has spread to the liver or

lungs but not elsewhere. Treatment

options are partly based on whether

the metastasis was found at diagnosis

or recurrence. Treatment for other

metastases is discussed in Part 6.

The spread of cancer to distant sites—metastatic

disease—occurs in at least half of people with colon

cancer. Colon cancer most often spreads to the liver.

Among every 100 people with colon cancer, 20 to

34 people will have liver metastases at diagnosis.

Most options for liver metastases also apply to lung


What was the one thing I

needed most during those 10

awful days after diagnosis?

INFORMATION—Solid, easy-to-

understand information about

treatment options, how to cope with

chemotherapy, radiation, depression,

anxiety, family—the list goes on.

And I needed someone to talk to

who understood my situation.


Survivor, Stage IV